Post mortems and Cremations.ppt...
Transcript of Post mortems and Cremations.ppt...
![Page 1: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/1.jpg)
Post mortems and Cremations
Post mortems and Cremations
![Page 2: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/2.jpg)
Post mortemsPost mortems
• Post mortems can be performed for natural deaths
• Post mortems must be performed if cause of death is unnatural
• Unnatural – performed by Forensic pathology
• Natural – Anatomical pathology departments
![Page 3: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/3.jpg)
• Unnatural deaths – by law required to do a post mortem (No. 61 of 2003: National Health Act, 2004)
• Natural deaths – usually on request from either the clinician or the family
![Page 4: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/4.jpg)
• Post mortem examinations may be conducted if:– The person while alive gave consent– Spouse, partner, major child, parent,
guardian, major brother or major sister gave consent
– Examination is necessary for the determination or confirmation of the cause of death
![Page 5: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/5.jpg)
• Documents required before a post mortem can be conducted:– Signed informed consent – Written authorisation from the medical
practitioner in charge of clinical services of the hospital or institution or of the mortuary
– Summary of the relevant clinical history – Completed death certificate
![Page 6: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/6.jpg)
![Page 7: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/7.jpg)
![Page 8: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/8.jpg)
![Page 9: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/9.jpg)
• All of the documents are available in the wards of both Kalafong and SBA hospitals
• Why must the death certificate be completed?– Page 1 – section D where you need to
indicate whether a death is regarded as natural or unnatural
– Page 2 – section G indicate what you suspect the cause of death may be
![Page 10: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/10.jpg)
![Page 11: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/11.jpg)
![Page 12: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/12.jpg)
• Cause of death: – Cardio respiratory arrest is not a cause of
death– Most likely cause comes first– Then comes the secondary and contributory
causes– E.g.
– Acute myocardial infarction – Hypertension– Diabetes
![Page 13: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/13.jpg)
• Death certificate– If indicated that death is natural – Anatomical
Pathology will accepted the body for a post mortem examination
– If indicated that death is unnatural – Forensic Pathology case
– If there is any doubt in the nature of the death – consultation with either department welcome
– If you have any doubt in your mind and not prepare to declare the death as natural you have the right to mark it as unnatural
![Page 14: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/14.jpg)
• When will we not perform a post mortem– Neisseria meningitis cases– Hemorrhagic fever cases– Bleeding tendencies of unknown cause– Jacob Creutzfeld cases
![Page 15: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/15.jpg)
CremationsCremations
• Cremations may only take place:– Registered crematorium– With proof that it was the wish of the
deceased
![Page 16: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/16.jpg)
• Where a cremation is desired one of the following persons must give notice at the Administrative officer in charge of the crematorium:– Nearest surviving relative– Executor of the estate of the deceased
![Page 17: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/17.jpg)
• The following documents are required:– Natural death:
• Schedule A: Application for cremation• Schedule B: Certificate from Medical attendant• Schedule C: Confirmatory medical certificate• Schedule E: Authority to cremate• Burial/Cremation order
![Page 18: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/18.jpg)
– Unnatural death:• Schedule A: Application for cremation• Schedule D: Certificate after post mortem
investigation • Schedule E: Authority to cremate• Burial/Cremation order
– Same in case a post mortem was performed on a natural death
![Page 19: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/19.jpg)
• All cremations are subject to approval by the referee / assistant medical referee appointed by the Municipality through the Head medical referee in the Dept Anatomical Pathology UP
![Page 20: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/20.jpg)
• All documents need to be handed in to the medical referee for approval at least 48 hours before the intended cremation
• Documents need to reach the crematorium at least 24 hours before the intended cremation
![Page 21: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/21.jpg)
• Medical referee will approve or reject the application for cremation
• Medical referee has the right to obtain all relevant information regarding the cause of death or circumstances surrounding the death –especially when the information supplied is insufficient
• If the medical referee has any doubt regarding the circumstances surrounding a death – he/ she may request a post mortem examination
![Page 22: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/22.jpg)
![Page 23: Post mortems and Cremations.ppt [Read-Only]wickup.weebly.com/uploads/1/0/3/6/10368008/post_mortems_and_c… · Post mortems and Cremations. Post mortems • Post mortems can be performed](https://reader033.fdocuments.net/reader033/viewer/2022042203/5ea5034899b81873101ff160/html5/thumbnails/23.jpg)